Permit CITY OF TIGARD MECHANICAL PERMIT
' ' ' COMMUNITY DEVELOPMENT Permit*: MEC2020-00047
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/10/2020
Parcel: 1 S126CA01000
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 140
Project: Cascade Bikes Subdivision: None Lot: None
Project Description: Replacing(1)10-ton RTU.
Contractor: SPECIALTY HEATING&COOLING Owner: CAFARO NORTHWEST PARTNERSHIP
7500 SW TECH CENTER DR STE PO BOX 586
PORTLAND, OR 97223 ANNANDALE, NJ 08801
PHONE: 503-620-5643 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/10/2020 $474.71
Class of Work: ALT Type of Const: VB Plan Review 03/10/2020 $118.68
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 03/10/2020 $56.97
Stories: Info Process/Archiving-Sm$0.50(up to 03/10/2020 $10.00
11x17)
Project Valuation: $14,968.00
Fuel Air Handlers
Fuel Types: Electricity Units<10000 elm: 1
Gas Pressure: Units>10000 elm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 0-3 HP:
Furnaces>= 100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $660.36
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other •
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you o follow the rules adopted by the Oregon
Utility Notification Center. Those rules re set fort in OAR 952-001-0010 through OAR 952-001 90. You may obtain a c the rules
or direct questions to OUN Ili 50 . 2.1987 .800. .2344.
Issued By: � Permittee Signature:
Call 503.639.4176 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received Dyn
fr 'we/ 7
13125 SW Flail Blvd.,Tigard,OR 97223 R E E I V "v ewt ? 1. .;-. .- PermitNo.: ,>C
illii II Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Inspection Line: 503.639.4175 Date/By: j^�',
-FIG A l:I) JAN 2 2 20 2tate ReadylBy: kris: ® See Page 2 for
Internet: www.tigard-or.gov otificd/Method j -; may Supplemental Information
CITY OF TIGARD [/ lif
TYPE OF WORK BUILDING DIVISION CO IAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction •Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 1yicice='
•
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling •Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: 1� �n/] &OD AirFurnace conditioning, (ducts/vents) 46.75
U 100,000 BTU46.75
City/State/ZIP: �� O( 911223 Furnace 100,000+BTU(ducts/vents) 54.91
1 0 I t, '-,`^� Heat pump 61.06
Suite/bldg./apt.no.: Project name: c f3( U L t work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: I Lot no.: er' 23.32
Oth
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
RVR i 1 O-TON Roop rOP Fluer vent for water heater or gas
�� ��'`� �('+2 fireplace 23.32
J,l I/ t• 1 Log lighter(gas) 23.32
L �l Wood pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER III TENANT Other: 23.32
CASCP ��S Environmental
an a d exhaust and ventilation:
Name: V ` Range hood/other kitchen
equipment 33.39
Address:V�T S W V Clothes dryer exhaust 33.39
City/State/ZIP: I w!'i .0 Og... q12 3 Single-duct exhaust(bathrooms,
(503)431-26`iI t Fax: toilet compartments,utility rooms) _ 23.32
Phone: ( ) Attic/crawlspace fans 23.32
ili APPLICANT I♦ CONTACT PERSON Other: 23.32
Business name: CLTMPsjf_ LoNT(ZbL Fuel piping:
DA�VE �C $14.15 for first four;$4.03 for each additional
Contact name: �i Furnace,etc.
Address: l(050D su) • 12NO j�I r Gas heat pump
nT / ! Wall/suspended/unit heater
City/State/ZIP: P�1�.1 Lk9 OR cV221"4 Water heater
Phone: (5O ) 51'17_4ll4 TI1 ` •,Faaxx:::�( 03�)�ccl CO2z9 Fireplace
Range
E-mail: k/AV a(rr}�i)``/-LL /�T CO"•1 l it-V L.La�(,.. ("\ Barbecue
CONTRACTOR f1 Clothes dryer(gas)
Business name: SPA PSLV Re -I � CO ` Other:
1 /� }� ,}� �" , MECHANICAL PERMIT FEES*
Address: 15OO Si T C )t ttlyyy DIZ it 130 Subtotal
City/State/ZIP:T'I�YT O� y� 3 Minimum permit fee($90.00)
Phone:(53 ) I Fax:( '�q ) q J� (� J Plan review(25%of permit fee)
3 �53-4422J I 122'I State surcharge(12%of permit fee)
CCB lic.: 221.1 1/7 9 TOTAL PERMIT FEE
This permit application expires If a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: DAUB 1411r Date:`2,0'tLp 20
1:1Building\Permits\MEC_PermitApp_040113.doc 440-46171'(11/02/COM/'EB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to $500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and '
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
•
•
I:1Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T1cARD Building Permit Review — Commercial - No Land Use
aimmit
Building Permit #: /h)v b-0,0--C y7
Site Address: 100i S' i l4a1( t31k/J. Suite/Bldg#: iki 0,
Project Name: CASUAL- Qkke4-- hta\t Jw.t
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review rr �"
Proposal: etokt. L0"-TaN (AI vn;11t, � c }. ve-\ifx.
Existing Business Activity: l(' `0 14 Pt i
Proposed '.
Business Activity:
Q'po rify site address/suite# exists and active in permit syst .ys
IIWyd4iver Terrace Neighborhood: ❑ Yes LU'No
ODI Zoning: hU L
11/P, tted Use: NJ Yes ❑ No ❑ Spec Space
37C nfirm no land use required.
Business License/
Exists:'1./A'‘
Fr Yes (❑ No,applicant was provided a business license application ( ( �{
Notes: V n4� CAS. mfi \- 0� ccW Cn . p6ka, ccitkAtit kve th4- il SU'f1ne4 I1-7 L1.in). C2 a'kkeI
10�.e+ri t C.k Sete. "ll
Approved by Planning: kJ-- Cori _ Date: C-2`i Za L,/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ,
Site Plans: #��W
Building Plans: # a
Building Permit#: p.-5:411 r building permit#above.
Workflow Routing: L�Planning ❑ Permit Coordinator ID-$uilding
Workflow Sign-off: 6'" off for Planning(include notes from planning review)
Route Application Documents: building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
r 1
By Permit Technician: Date: ,;/j )
1:\Building\Forms\B IdgPermitRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applican •
❑ SDC Fees Entered: Wash Co Trans D-, Tax: 0 Yes 0 N/A
Tigard Trans S 1 : 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPennitRvw_COM_NoLandUse_1 11819.docx